Priprema i postproceduralna njega bolesnika nakon ugradnje umjetnog pulmonalnog melody zalistka

master's thesis

• Title (english): Preparation and post-procedure care of patients after pulmonary melody valve implatation
• Author: Matea Dumančić
• Mentor: Kristina Marić Bešić (mentor)
• Committee member: Maja Strozzi (predsjednik povjerenstva)
• Committee member: Martina Lovrić Benčić (član povjerenstva)
• Committee member: Kristina Marić Bešić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2021-07-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Brojni bolesnici s prirođenim srčanim greškama imaju disfunkcionalni pulmonalni
zalistak koji zahtjeva kardiokirurško liječenje u ranoj životnoj dobi. Do posljednjeg desetljeća
zamjena neispravnog pulmonalnog zalistka ili provodnika mogla se obavljati samo
operacijama na otvorenom srcu. Uvođenje perkutane ugradnje pulmonalnog Melody zalistka u
naš terapijski protokol danas nudi privlačnu alternativu kirurškom postupku zamjene
pulmonalnog zalistka u odabranih bolesnika. Uz pomno biranje kandidata za zamjenu
pulmonalnog zalistka ovom metodom, ključnu ulogu ima preoperativna priprema, ali i
postproceduralni tijek u kojem jednu od glavnih uloga u edukaciji, pripremi i pravovremenom
prepoznavanju i sprečavanju po život opasnih stanja imaju medicinske sestre/tehničari, koji
24h skrbe o bolesnicima. Glavna prednost navedenog postupka je izbjegavanje operacija na
otvorenom srcu kod bolesnika koji su često imali nekoliko prethodnih operacija, a možda
zahtijevaju naknadne buduće operacije. Podaci iz mnogih studija ohrabruju, a većina bolesnika
s korigiranom tetralogijom Fallot i srodnim anomalijama zahtijevat će višestruke intervencije
tijekom svog života. Nemoguće je predvidjeti koja će tehnologija i alternative biti dostupne u
bliskoj budućnosti. U konačnici, odgovarajuće sekvenciranje kirurške zamjene i perkutane
ugradnje pulmonalnog zalistka ovisit će o pojedinačnim okolnostima, no bez obzira na to, PPVI
(eng: PPVI-Percutaneous Pulmonary Valve Implantation) u svrhu produljenja funkcijskog
vijeka bioprotetskog zalistka biti će važan dio liječenja.

Abstract (english)

Numerous patients with congenital heart diseases have a dysfunctional pulmonary
valve and require cardiac surgery at an early age. Until the last decade, the replacement of a
dysfunctional pulmonary valve or conduit could only be performed by open heart surgery. The
introduction of percutaneous Melody pulmonary valve implantation into our therapeutic
protocol today, offers an attractive alternative to the surgical procedure of pulmonary valve
replacement in carefully selected patients. The nursing staff who cares 24 hours for these
patients, plays the key role in the preoperative patient preparation and in the post-procedural
course and education. The main advantage of this procedure is the avoidance of open heart
surgery in patients who already had several previous surgeries and may need future ones. The
findings of many studies are encouraging and most patients with corrected tetralogy of Fallot
and related anomalies will require multiple lifelong interventions, and it is impossible to predict
what technology and alternatives will be available in the future. Ultimately, appropriate
sequencing of surgical replacement and percutaneous pulmonary valve implantation will
depend on individual patients' needs. Despite this, PPVI (Percutaneous Pulmonary Valve
Implantation) is now recognized as an important part of therapy to prolong the lifespan of an
existing bioprosthetic valve.

• Keywords: prirođene srčane greške; pulmonalni Melody zalistak; PPVI
• Keywords (english): congenital heart diseases; pulmonary Melody valve; PPVI
• Language: croatian
• URN:NBN: urn:nbn:hr:105:483346
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-07-08 11:29:13